Self Referral Form

In taking your details, we recognise the importance of personal privacy and make sure all information about you is held securely in accordance with the General Data Protection Regulation (GDPR)
We use data anonymously for monitoring purposes. However, no one will be able to link any information back to you.
Everything you tell us is kept confidential, however if you disclose information concerning current or potential harm or risk to yourself or another, we may need to tell another party including your GP, the Police or Ambulance Service.
If you disclose current or historical abuse or information related to a crime, we are legally obliged to inform the Police and/or other safeguarding agencies.
To ensure quality of care we are required to share information with your GP about your referral and treatment which we may do both verbally and in writing.